ROSE GINA MANGONES – Family Nurse Practitioner, NPI 1386350007

ROSE GINA MANGONES is a healthcare provider. based in Fort pierce, Florida. specializing in NURSE PRACTITIONER. They hold a License No. F09220783 (FL). The NPI Number for ROSE GINA MANGONES is 1386350007

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
ROSE GINA MANGONES
NPI
1386350007
Phone
(772) 240-5876
Address
2608 SERENITY CIR N
Enumeration Date
26 January 2023
Last Update Date
26 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7724653225
Graduation Year
2022 (4 years ago)
PAC ID
1951757657
Group Practice PAC ID
1355245036
Professional Enrollment ID
I20231101002549
Address ID
FL349827079FO4995X1XXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for ROSE GINA MANGONES

  • 2608 SERENITY CIR N

    FORT PIERCE, FL 349815047

    Phone: (772) 240-5876

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $295.

Total Amount is formed as General ($295) + Research ($0) + Ownership ($0) = $295.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($40).

Total Amount

$295

General + Research + Ownership

Payments

14

Total payment records

General Amount

$295

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231101002549INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34981)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355245036View full group profile
NameSpecialtyState
Nurse PractitionerFL
Internal MedicineFL

Reviews

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Frequently asked questions

How do payers reference ROSE GINA MANGONES?
For ROSE GINA MANGONES, use NPI 1386350007 as the unique 10-digit identifier.
Would ROSE GINA MANGONES appear as active to a payer?
You can treat ROSE GINA MANGONES as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to ROSE GINA MANGONES?
ROSE GINA MANGONES's specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Florida is ROSE GINA MANGONES registered?
Use Fort Pierce, Florida as the headline location for ROSE GINA MANGONES here.
When was this NPI issued?
Enumeration for ROSE GINA MANGONES is noted as January 26, 2023 where the registry provides it.

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